HAILEY L. CHAMPION CAUDILL
NPI 1396581872
Optometrist in Hindman, KY

Q: What is Hailey Champion Caudill's NPI number?

The NPI number for Hailey Champion Caudill is 1396581872. It was assigned to this individual provider in the NPPES registry on July 3, 2024.

Q: What is Hailey Champion Caudill's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Active since July 03, 2024PECOS EnrolledAccepts Medicare Assignment

1974 HIGHWAY 160 S, HINDMAN, KY 41822(606) 629-4300(606) 629-3880 Get Directions Write a Review

NPPES record last updated: July 23, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jul 23, 2026, Jul 3, 2024 (2 updates tracked since 2024).

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About Hailey L. Champion Caudill NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

HAILEY L. CHAMPION CAUDILL (NPI 1396581872) is an individual optometrist in Hindman, Kentucky, licensed in Kentucky (2390DT) and active in the NPI registry since July 2024. She is enrolled in Medicare PECOS and is a graduate of Other (2024).

NPPES Registry Identity

NPI1396581872

Entity TypeIndividualFemale

Primary Taxonomy152W00000X

Provider Legal NameHAILEY L. CHAMPION CAUDILL

Location Address1974 HIGHWAY 160 SHindman, KY 41822-9045

Mailing AddressPo Box 40Whitesburg, KY 41858-0040 · (606) 633-4823

Phone(606) 629-4300

Fax(606) 629-3880

Sole ProprietorNo

Medical School CMSOtherGraduated 2024

Enumeration DateJuly 3, 2024

Last NPPES UpdateJuly 23, 20262 updates tracked since enumeration

NPPES CertifiedJuly 23, 2026

✔ NPI 1396581872 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers

Taxonomy Code152W00000X

License✔ Licensed in KY · 2390DT

Definition

Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.

1974 HIGHWAY 160 S, Hindman, KY 41822

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter Health, Ambetter of Tennessee and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Hailey L. Champion Caudill is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4082152004

PECOS Enrollment IDI20240821001399

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Hailey Champion Caudill reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Mountain Comprehensive Health Corporation

1.4 mi

Primary Care

396 HIGHWAY 899
Hindman, KY 41822

Reassigned Medicare billing, Kentucky enrollment
95 clinicians in this Medicare group

NPI 1912676511 (606) 785-9440

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 41822 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$122.77 typical visit price

range $52.76 – $162.27

Typical copayment $30.69 (range $13.19 – $40.56)

Most-billed visit code 99204

Established Patient

$66.24 typical visit price

range $16.53 – $131.99

Typical copayment $16.56 (range $4.13 – $32.99)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MOUNTAIN COMPREHENSIVE HEALTH CORPORATION

Clinic/Center (Primary Care)

1974 HIGHWAY 160 S
HINDMAN, KY 41822

Knott County (606) 629-4300

MR. JOSEPH WAYNE HIGDON III PHARMD

Pharmacist

1974 HIGHWAY 160 S
HINDMAN, KY 41822

Knott County (606) 785-0208

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Hailey Champion Caudill's NPI number?

The NPI number for Hailey Champion Caudill is 1396581872. It was assigned to this individual provider in the NPPES registry on July 3, 2024.

Where is Hailey Champion Caudill located?

Hailey Champion Caudill practices at 1974 Highway 160 S, Hindman, KY 41822. The listed phone number is (606) 629-4300.

What is Hailey Champion Caudill's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Is Hailey Champion Caudill enrolled in Medicare?

Yes. Hailey Champion Caudill is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Hailey Champion Caudill's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Hailey Champion Caudill reassigns Medicare benefits to Mountain Comprehensive Health Corporation (Hindman, KY). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Hailey Champion Caudill's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Hailey Champion Caudill accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter of Tennessee, Anthem Blue Cross and Blue Shield and Blue Cross Blue Shield of Wyoming and 5 other insurers list Hailey Champion Caudill as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Hailey Champion Caudill was last updated on July 23, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.